Organization
TCAL2
Active
Organization
TCAL2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUSTIN BENNETT WILEY (OWNER)
(303) 667-6890
Entity
Organization
Contact information
Practice address
6419 W MEXICO AVE, LAKEWOOD, CO 80232-7055
(303) 667-6890
(303) 975-2472
Mailing address
3408 S PATTON WAY, DENVER, CO 80236-2426
(303) 667-6890
(303) 975-2472
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up